Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST ELIZABETH FLORENCE

KY · Facility ID 180045 · FY2026

Total HAC Score

-0.1041

Percentile

45.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1041

Hospital score -0.1041. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 6 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.830
  • CLABSIz 1.073
  • CAUTIz -0.393
  • SSIz 0.704
  • CDIz -0.142
  • MRSAz -1.037

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.8298-0.21310.45270.6657
CAUTI-0.3930-0.25840.35910.6175
MRSA-1.0372-0.17420.43960.6137
CDI-0.1418-0.32420.28500.6092
CLABSI1.0734-0.51750.09030.6078
SSI0.7036-0.46420.14050.6047

Swing is a mechanics illustration: replace one reported Z with that measure’s observed floor or cap while holding others fixed. Ranked by absolute swing.

Peer context

Percentile within KY (56 scored): 31.3th

Score distributionThreshold 0.3792Hospital -0.1041

Hospital score -0.1041. Penalty threshold 0.3792. Distribution of 56 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 43.2th

Score distributionThreshold 0.3792Hospital -0.1041

Hospital score -0.1041. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1041; threshold 0.3792).

Reported on 6 of 6 measures; each reported measure moves the equal-weighted score by 0.1667 points.

Describes scoring mechanics only. Not medical or legal advice. Any “would / would not” language is an illustration against the published threshold, not a CMS prediction.

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